RESUMO
La sarcoidosis es una enfermedad inflamatoria multisistémica, caracterizada por granulomas no caseificados, de etiología desconocida. Dentro de esta, el compromiso seroso es muy infrecuente. Entre los diagnósticos diferenciales a considerar se encuentran patologías neoplásicas, infecciosas e inflamatorias. El tratamiento de la sarcoidosis peritoneal depende del grado, actividad y extensión de la enfermedad. Se presenta el caso de una paciente de 45 años, que consulta por dolor pélvico y aumento de perímetro abdominal de tres meses de evolución.
Sarcoidosis is a multisystemic inflammatory disease characterized by calcified granulomas of unknown etiology. Within this, the serous commitment is rare. Among the differential diagnoses are considered neoplastic, infectious and inflammatory diseases. Treatment of peritoneal sarcoidosis depends on the degree, activity and extent of the disease. We present the case of a 45 years old patient who consulted for pelvic pain and increased abdominal girth of three months of evolution.
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Doenças Peritoneais/patologia , Doenças Peritoneais , Sarcoidose/patologia , Sarcoidose , Diagnóstico DiferencialRESUMO
A 36-year-old man was admitted for persistent abdominal pain and weight loss. He had had significant exposure to asbestos, as he had been active in cleanup after the World Trade Center attack. A CT scan of his abdomen was initially read as peritoneal carcinomatosis without evidence of ascites. Infectious etiology was subsequently ruled out and diagnostic laparoscopy was performed for tissue diagnosis revealing noncaseating granulomas consistent with peritoneal sarcoidosis. Of note, he had an elevated CA-125 level on admission, which is unique in males with peritoneal sarcoidosis.
